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[板层黄斑裂孔和假性裂孔的适应症及手术方法]

[Indications and surgical approach for lamellar macular holes and pseudoholes].

作者信息

Haritoglou C, Schumann R G

机构信息

Augenklinik Herzog Carl Theodor, Nymphenburger Str. 43, 80335, München, Deutschland.

Augenklinik, Ludwig-Maximilians-Universität München, München, Deutschland.

出版信息

Ophthalmologe. 2017 Dec;114(12):1117-1121. doi: 10.1007/s00347-017-0591-y.

DOI:10.1007/s00347-017-0591-y
PMID:29079880
Abstract

BACKGROUND

This article presents a discussion on the indications for surgical interventions of lamellar macular holes and pseudoholes.

OBJECTIVE

What are the criteria for deciding on the surgical intervention for lamellar macular holes and pseudoholes?

MATERIAL AND METHODS

The article is based on a literature search in PubMed RESULTS: Lamellar macular holes and pseudoholes are subdivided into degenerative and tractive alterations. Both entities are associated with relatively specific morphological and functional criteria, which correlate with the expected functional and morphological results of the surgical intervention. Patients with pseudoholes therefore profit more from a surgical intervention because alterations to the outer retina are less pronounced in these cases.

CONCLUSION

The indications for surgery of lamellar macular holes and pseudoholes are established by the type of lamellar defect and the morphological and functional alterations associated with this condition.

摘要

背景

本文讨论了板层黄斑裂孔和假性裂孔的手术干预指征。

目的

决定板层黄斑裂孔和假性裂孔手术干预的标准是什么?

材料与方法

本文基于在PubMed上的文献检索。

结果

板层黄斑裂孔和假性裂孔可细分为退行性和牵引性改变。这两种情况都与相对特定的形态学和功能标准相关,这些标准与手术干预预期的功能和形态学结果相关。因此,假性裂孔患者从手术干预中获益更多,因为在这些情况下,外层视网膜的改变不太明显。

结论

板层黄斑裂孔和假性裂孔的手术指征由板层缺损的类型以及与此病症相关的形态学和功能改变确定。

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1
[Indications and surgical approach for lamellar macular holes and pseudoholes].[板层黄斑裂孔和假性裂孔的适应症及手术方法]
Ophthalmologe. 2017 Dec;114(12):1117-1121. doi: 10.1007/s00347-017-0591-y.
2
Lamellar Hole-Associated Epiretinal Proliferation in Comparison to Epiretinal Membranes of Macular Pseudoholes.与黄斑假性裂孔视网膜前膜相比的板层孔相关视网膜前增殖。
Am J Ophthalmol. 2015 Aug;160(2):373-384.e1. doi: 10.1016/j.ajo.2015.05.010. Epub 2015 May 15.
3
Epiretinal membrane characteristics correlate with photoreceptor layer defects in lamellar macular holes and macular pseudoholes.视网膜前膜特征与板层黄斑裂孔和黄斑假性裂孔中的光感受器层缺陷相关。
Retina. 2015 Apr;35(4):727-35. doi: 10.1097/IAE.0000000000000375.
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Non-full-thickness macular holes reassessed with spectral domain optical coherence tomography.用谱域光学相干断层扫描重新评估非全层黄斑裂孔。
Retina. 2012 May;32(5):922-9. doi: 10.1097/IAE.0b013e318227a9ef.
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Long-term follow-up of lamellar macular holes and pseudoholes over at least 5 years.板层黄斑裂孔和假性裂孔至少5年的长期随访
Graefes Arch Clin Exp Ophthalmol. 2018 Jun;256(6):1067-1078. doi: 10.1007/s00417-018-3972-2. Epub 2018 Apr 6.
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[Histopathological correlation of epiretinal tissue in lamellar macular holes and macular pseudoholes].[板层黄斑裂孔和黄斑假性裂孔中视网膜前组织的组织病理学相关性]
Ophthalmologe. 2017 Dec;114(12):1110-1116. doi: 10.1007/s00347-017-0592-x.
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Lamellar Macular Hole: Two Distinct Clinical Entities?板层黄斑裂孔:两种不同的临床实体?
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Surgical outcomes of lamellar macular holes with and without lamellar hole-associated epiretinal proliferation.伴有和不伴有板层裂孔相关视网膜前增殖的板层黄斑裂孔的手术结果
Acta Ophthalmol. 2017 May;95(3):e221-e226. doi: 10.1111/aos.13245. Epub 2016 Sep 20.
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Macular pseudoholes with lamellar cleavage of their edge remain pseudoholes.黄斑假裂孔的边缘呈板层状撕裂仍为假裂孔。
Am J Ophthalmol. 2013 Apr;155(4):733-42, 742.e1-4. doi: 10.1016/j.ajo.2012.10.021. Epub 2013 Jan 9.
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Epiretinal proliferation in lamellar macular holes and full-thickness macular holes: clinical and surgical findings.板层黄斑裂孔和全层黄斑裂孔的视网膜前增殖:临床及手术发现
Graefes Arch Clin Exp Ophthalmol. 2016 Apr;254(4):629-38. doi: 10.1007/s00417-015-3133-9. Epub 2015 Aug 27.

引用本文的文献

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[Biomarkers in full-thickness and lamellar defects of the macula].[黄斑全层和板层缺损中的生物标志物]
Ophthalmologe. 2021 Apr;118(4):321-336. doi: 10.1007/s00347-021-01340-5. Epub 2021 Mar 1.
2
The Management of Lamellar Macular Holes: A Review.板层黄斑裂孔的治疗:综述
J Ophthalmol. 2020 Feb 21;2020:3526316. doi: 10.1155/2020/3526316. eCollection 2020.
3
[Lamellar macular holes : Morphological characteristics and treatment success].[板层黄斑裂孔:形态学特征与治疗效果]

本文引用的文献

1
Progression of lamellar hole-associated epiretinal proliferation and retinal changes during long-term follow-up.长期随访期间板层孔相关视网膜前增殖和视网膜变化的进展
Br J Ophthalmol. 2018 Jan;102(1):84-90. doi: 10.1136/bjophthalmol-2016-310128. Epub 2017 May 25.
2
Lamellar Macular Hole: Two Distinct Clinical Entities?板层黄斑裂孔:两种不同的临床实体?
Am J Ophthalmol. 2016 Apr;164:99-109. doi: 10.1016/j.ajo.2016.02.008. Epub 2016 Feb 18.
3
Epiretinal proliferation in lamellar macular holes and full-thickness macular holes: clinical and surgical findings.
Ophthalmologe. 2019 Nov;116(11):1020-1025. doi: 10.1007/s00347-019-00966-w.
板层黄斑裂孔和全层黄斑裂孔的视网膜前增殖:临床及手术发现
Graefes Arch Clin Exp Ophthalmol. 2016 Apr;254(4):629-38. doi: 10.1007/s00417-015-3133-9. Epub 2015 Aug 27.
4
Lamellar Hole-Associated Epiretinal Proliferation in Comparison to Epiretinal Membranes of Macular Pseudoholes.与黄斑假性裂孔视网膜前膜相比的板层孔相关视网膜前增殖。
Am J Ophthalmol. 2015 Aug;160(2):373-384.e1. doi: 10.1016/j.ajo.2015.05.010. Epub 2015 May 15.
5
Correlation between foveal interdigitation zone band defect and visual acuity after surgery for macular pseudohole.黄斑假孔手术后黄斑中心凹指状交叉区带缺损与视力的相关性
Retina. 2015 May;35(5):908-14. doi: 10.1097/IAE.0000000000000414.
6
Epiretinal membrane characteristics correlate with photoreceptor layer defects in lamellar macular holes and macular pseudoholes.视网膜前膜特征与板层黄斑裂孔和黄斑假性裂孔中的光感受器层缺陷相关。
Retina. 2015 Apr;35(4):727-35. doi: 10.1097/IAE.0000000000000375.
7
Surgical treatment of lamellar macular hole secondary to epiretinal membrane.外膜剥除术后板层黄斑裂孔的手术治疗。
Graefes Arch Clin Exp Ophthalmol. 2013 Dec;251(12):2681-8. doi: 10.1007/s00417-013-2364-x. Epub 2013 May 17.
8
Modified vitreous surgery for symptomatic lamellar macular hole with epiretinal membrane containing macular pigment.针对伴有含黄斑色素的视网膜前膜的症状性板层黄斑裂孔的改良玻璃体手术。
Retina. 2013 Jun;33(6):1263-9. doi: 10.1097/IAE.0b013e31828bcb61.
9
Macular pseudoholes with lamellar cleavage of their edge remain pseudoholes.黄斑假裂孔的边缘呈板层状撕裂仍为假裂孔。
Am J Ophthalmol. 2013 Apr;155(4):733-42, 742.e1-4. doi: 10.1016/j.ajo.2012.10.021. Epub 2013 Jan 9.
10
The natural history of lamellar macular holes: a spectral domain optical coherence tomography study.层状黄斑裂孔的自然病程:频域光学相干断层扫描研究。
Graefes Arch Clin Exp Ophthalmol. 2013 Feb;251(2):467-75. doi: 10.1007/s00417-012-2044-2. Epub 2012 May 9.